Displaying 149171-149180 of 1611142 results.
ID:
149171
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197527
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
149172
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197528
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
149173
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197529
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
149174
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
312744
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
149175
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
616487
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
149176
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
312962
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
149177
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
349332
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149178
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
351250
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149179
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
856834
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149180
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
856845
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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